What is the best action for the nurse to take after an elderly client undergoes surgery for a fracture?

Encouraging the client to cough and deep breathe every two hours is essential in the post-operative care of elderly patients, particularly after surgery for a fracture. This practice helps prevent respiratory complications, such as pneumonia, which can be a significant risk for older adults, especially when they are less mobile due to pain, anesthesia, and surgery.

After surgery, the client's lung capacity and ventilation may be compromised due to pain and limited mobility. Encouraging regular coughing and deep breathing exercises helps expand the lungs and clear secretions, promoting better oxygenation and overall respiratory health. This is crucial in the post-operative period, where monitoring and maintaining lung function can greatly affect recovery and prevent complications.

While it is necessary to monitor the surgical site for any bleeding and manage pain effectively, the priority immediately after surgery is to ensure the client maintains adequate respiratory function. Other options might be relevant in various contexts of care, but in this situation, respiratory health holds the utmost importance.